| NPI | 1689067456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYN M DRAGON Physical Therapist/Owner 601-916-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MS PT4690) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |